need therapy but terrified to leave the house. what should i do?

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I am in my mid 30's & & absolutely cannot go very far from my doorstep without suffering severe panic that often induces migraines & has led to me passing out twice. I realize I need professional help badly but I don't know what to do at all. how can I get help if I feel like I'm going to have a heart attack when I step outside?

I have dealt with this since I was about 15, along with depression. & i have isolated myself from people out of fear. but not nearly to the severity it is at now. I am getting worse & really need help.

thanks for reading.

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thanks for the advice. its worse than agoraphobia . I basically can't door think about anything without thinking of 10 different horrible possibilities. it manifests itself as obsessive compulsive disorder, isolation & very vivid visualization. scary. I guess its general anxiety disorder.

i tried therapy about  2 years ago. back when things weren't as bad as they are now. plus I was on a few medications for anxiety which helped me get there. I'm having my wife set up an appointment for me & I'm just going to force myself to go down there to a new doctor & new therapist. I quit my last one because he seemed to want to focus exclusively on the idea that it was something from my childhood. & you can Imagine what riding in a car does to me.

[specialmom]

Hi there.  Oh, that is so hard.  I feel for you.  You know help is out there but can't get there for the help!  Have you had any psychiatric medical care in the past?  Do you have a or therapist you've worked with?  Even if you haven't, I encourage you to call an office that you've identified as one you would like to receive help from and talk to them about the situation.  Being homebound when you have agoraphobia is an issue that they know about.  They may offer you help.  They may have ideas for you locally.  It also can help to have a family member take charge---  make the appointment and help you get there.  I know that panic can take over and fight or flight responses can happen---  panic attacks are terrible. But, the important thing to remember about panic is it does NOT truly harm you.  It feels really bad for the moments that it is happening----  but you are okay after.  So, you have to really kind of think of it this way so it doesn't have so much power over you.  Doctors will do exposure therapy to help people see that sometimes.  So, start by reminding yourself of this through self talk.  

There is help out there. You just have to get there.  So, call some offices or a doctor that you want to see and see what their suggestion is to help you get to the office through your anxiety.  You could look for online help as well which is not a replacement for true medical care.  You may need medication and therapy combined.  but you can do it!  

Here is something from the Mayo clinic specifically written for those that suffer agoraphobia such as yourself to help prepare them prior to seeing a care provider that can help them:
http://www.mayoclinic.org/diseases-conditions/agoraphobia/basics/preparing-for-your-appointment/CON-20029996

I really wish you well and please stay in touch, okay?  good luck